The Scaling Up Nutrition (SUN) Movement

Annual Progress Report 2017

© Scaling Up Nutrition (SUN) Movement, 2017

All information in this report was collected, reviewed and collated by the SUN Movement Secretariat during June, July and August 2017. The SUN Movement Secretariat is supported by the Bill & Melinda Gates Foundation, Canada, the European Union, France, Germany, Ireland, the Netherlands, the United Kingdom and the United States. Human resource capacity, reporting directly to the SUN Movement Director, has been made available by France and the World Food Programme. The activity plan and budget of the SUN Movement Secretariat supports the implementation of the revised SUN Movement Strategy and the priorities identified by SUN countries in the context of the SUN Movement Roadmap 2016-2020.

For citation: Scaling Up Nutrition (SUN) Movement (2017). Annual Progress Report 2017. Geneva.

Front cover photos: © UNICEF, except the second photo to the right, which is © ILO.

Design, layout and production by Phoenix Design Aid A/S, Denmark.

Printed in Switzerland

SUN MOVEMENT

Annual Progress Report 2017

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Foreword

MAKING SURE A FUTURE WITH ZERO MALNUTRITION IS WITHIN REACH

A child’s cognitive development moves from preoperational to operational when she or he reaches the age of seven. In the same vein, the Scaling Up Nutrition (SUN) movement has reached its seven-year mark -- and its next phase in support of the 2030 Agenda for Sustainable Development -- bringing together more countries and stakeholders than ever in a global partnership to make malnutrition a thing of the past.

There is no place for malnutrition in the future we want. We must harness the opportunity that the Sustainable Development Goals (SDGs) present, as nutrition is both an indicator and determinant of development. Good nutrition spurs progress in health, education, employment, empowerment of women and the reduction of inequalities and poverty. It helps to ensure the best possible start in life for girls’ and boys’ bodies and brains, and is a prerequisite for thriving communities and countries.

Formed to act on the growing evidence of the injustice and impact of malnutrition, the SUN movement is focused on ending all forms of malnutrition for everyone, everywhere, by 2030. The 59 countries and three Indian states that today form the movement – up from four countries in 2010 – are showing that success is achievable.

In the past year, countries including Burkina Faso, Ethiopia, Mauritania, Myanmar and Nigeria have reported a reduction in stunting. Globally the number of children too short for their age has decreased from 165 million in 2012, to 155 million today. Almost 70 per cent of SUN countries report that the environment in which they operate – across sectors and stakeholder groups – has been more enabling, with more than 2,000 civil society organizations, 400 businesses, UN entities, journalists, parliamentarians, scientists and champions all working to address issues of malnutrition. By working together, with governments in the driver’s seat, the SUN movement is facilitating the progress needed to advance SDG 17, which requires partnering for results to reach those furthest behind.

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In spite of these significant advances, crises have left 20.7 million people without adequate food and nutrition in Yemen, Somalia, South Sudan and north-eastern Nigeria. This requires an immediate and coordinated response. In line with the promise of the SDGs to leave no one behind, the SUN movement has scaled up its response in countries that are facing or have recently faced crises – whether socio-political or climate-driven. Moving forward, we must focus on strong cross-sector collaboration for a whole-of-government approach to make nutrition a driver of more peaceful, secure and stable societies.

This new phase of the SUN movement also requires a focus not only on undernutrition, but on the increasing and devastating emergency of overweight, obesity and diet-related non-communicable disease experienced in almost every country. Undernutrition and overnutrition often occur in the same individuals, families and communities. Several SUN countries are addressing this through national plans and policies.

At the backbone of the SUN Strategy and Roadmap for 2016-2020, launched last September, lies a transformational pathway that looks to a future where everyone can realize their right to food and good nutrition. The past year has seen the development of a movement-wide Monitoring, Evaluation, Accountability and Learning system to help stakeholders demonstrate how their resources have translated into results that deliver better nutrition for all.

The SUN movement is making great strides in reaching children at risk of malnutrition and helping to build stable and thriving societies. With only 13 years left to meet the SDGs, there is not a moment to waste. I look forward to the work ahead and hope you will continue to support the SUN movement.

Amina J. Mohammed

Deputy Secretary-General of the United Nations

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BMS Breast-milk substitutes

CSO Civil society organisations

COI Conflict of interest

CFS Committee on World Food Security

CRF Common results framework

CSA Civil Society Alliance

CSN SUN Civil Society Network

GDP Gross Domestic Product

GNR Global Nutrition Report

ICE Independent Comprehensive Evaluation

ILO International Labour Organization

MEAL Monitoring Evaluating Accountability Learning

MSP Multi-Stakeholder Platform

N4G Nutrition for Growth

REACH Renewed Efforts Against Child Hunger and Undernutrition

SBN SUN Business Network

SDG Sustainable Development Goals

SDN SUN Donor Network

SMS SUN Movement Secretariat

SUN Scaling Up Nutrition

TST Transitional Stewardship Team

UN United Nations

UNN UN Network for SUN

WASH Water, sanitation and hygiene

WHA World Health Assembly

List of abbreviations and acronyms

List of abbreviations and acronyms II

2016-2017: A visual snapshot VII

Country index XI

Summary and key messages XII

Chapter 1Nutrition today 1

1.1 What do we mean by malnutrition 11.2 The global picture:

Malnutrition at a glance 3

Chapter 2Fighting malnutrition across the SUN Movement 14

2.1 The state of malnutrition across the countries that drive the Movement 14

2.2 Nutrition patterns across SUN Countries 20

2.3 Ensuring nutrition progress: The 2017 SUN Movement Joint-Assessment Exercise 26

2.4 The SUN Movement’s unique added value 55

Contents

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Chapter 3Supporting countries scale up nutrition 62

3.1 The SUN Movement networks 633.2 The SUN Movement Secretariat 723.3 The SUN Movement pooled fund 733.4 The SUN Movement Coordinator 743.5 The SUN Movement Executive

Committee 753.6 The SUN Movement Lead Group 76

Chapter 4Making sure a world with no malnutrition is within reach 78

4.1 The way forward 784.2 The road ahead 804.3 Looking to 2018 80

Chapter 5SUN Country Profiles 82

AnnexesAnnex 1

Explanation of indicators chosen for the 2017 Annual SUN Movement Progress Report 143

Annex 2SUN Country progress in a range of processes 148

2016-2017: A visual snapshot Global Progress

SUN Movement Progress

Viet Nam and Lao People’s Democratic Republic learning exchange

SUN Countries share successes, lessons and challenges in aligning multiple stakeholders behind national priorities (374 participants from 51 SUN Countries)

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Myanmar reports progress in reducing stunting to

29.2% down from 35.1% in 2009, and 40.6% in 2006

SUN Countries discuss building and sustaining political commitment for nutrition action (300 participants from 49 SUN Countries)

49Breastfeeding Week 2016: a key to Sustainable Development

Public Financing and Managing Results for Better Nutrition in SUN African Countries

The Sustainable Development Goals Report 2016

The Cost of Malnutrition: Why Policy Action is Urgent

Japan hosts Ghanaian learning exchange

Nutrition Funding: The Missing Piece of the Puzzle

From Science to Action: Academia and Decision-Makers United in SUN Countries

I don’t think the impact of El Niño, aggravated by climate change, has received the attention that it should have from the international community.

Mary Robinson, President, Mary Robinson Foundation - Climate Justice and SUN Movement Lead Group member

SUN Countries exchange experiences in managing the impact of El Niño and other climate shocks on nutrition

Nourishing Millions, Stories of Change in Nutrition

2016 Global Nutrition Report

Ethiopia reports progress in reducing stunting to

38.4% down from 40.4% in 2014, and 44.2% in 2011

SUN Countries discuss information systems for nutrition: data collection, analysis and reporting (229 participants in 35 SUN Countries)

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The Indian State of Jharkhand is the third Indian State to join the Movement

Partnering as a way of working and as a means of implementation, is at the heart of this agenda.

David Nabarro, Sustainable Development Facilitator

71st session of the United Nations General Assembly

Guatemala took a multi-sectoral approach to improving nutrition and will be a champion in the region and the world for this approach. I intend to share these experiences so others can learn and lead in their own countries.

President of Guatemala and SUN Movement Lead Group member,, Jimmy Morales

Inauguration of a new SUN Movement Lead Group

Mauritania reports progress in reducing stunting to

27.9% down from 29.7% in 2011

Burkina Faso reports progress in reducing stunting to

27.3% down from 32.9% in 2012, and 34.1% in 2011

SUN Movement Coordinator visits Côte d’Ivoire

Upscaling the WASH-nutrition nexus at Stockholm World Water Week 2016

The evidence, therefore, is very clear – boosting nutrition will boost economies.

Akinwumi Adesina, Director of the African Development Bank

Rio Nutrition for Growth

From Inspiration to Impact: New SUN Movement Strategy and Roadmap (2016-2020) is launched

I have never seen such a good political moment for nutrition. The stars are all aligned. With the SUN Movement, with its 57 countries who are making a huge contribution to this decade of success. I think the SDGs over the next 15 years will build on the success of the first 5 years of the SUN Movement.

Former Director-General of the World Health Organization, Margaret Chan

Central African Republic becomes the 59th country to join the SUN Movement

The SUN Movement Coordinator visits South Asia: Bangladesh, Nepal, Pakistan

Parliaments have a key role to play, and I wish to invite you to convene a multi-stakeholder consultation within parliament to identify ways in which it can take action to support efforts to fight malnutrition and all its consequences.

Martin Chungong, Secretary General of IPU and SUN Movement Lead Group member

The 136th Inter-Parliamentary Union (IPU) General Assembly, Dhaka

Nigeria reports progress in reducing stunting to

32.9% down from 36.4% in 2013, and 36% in 2011

SUN Countries discuss implementing effective nutrition actions aligned with common results and national goals (more than 300 participants from 45 SUN Countries)

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United Nations call for urgent action to avert famine in South Sudan, Somalia, Yemen and northeast Nigeria

SUN Movement Coordinator visits Southeast Asia: Viet Nam, Cambodia and Indonesia

SUN Civil Society Network Regional Workshop, Senegal

Gabon is the 58th country to join the SUN Movement

COMPENDIUM OF ACTIONS FOR NUTRITION

Visit http://www.reachpartnership.org/it/compendium-of-actions-for-nutrition to view the CAN list of possible nutrition actions, including those on multi-sectoral nutrition governance.

NOW AVAILABLE!

FOOD, AGRICULTURE & HEALTHY DIETS

HEALTH

SOCIALPROTECTION

MATERNAL& CHILDCARE

COMPENDIUM OF

ACTIONSFOR NUTRITION

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FOOD, AGRICULTURE & HEALTHY DIETS

HEALTH

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ACTIONSFOR NUTRITION

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A FACILITATION RESOURCE TO FOSTER MULTI-SECTORAL DIALOGUE AT THE COUNTRY LEVEL

Compendium of actions for nutrition (CAN)

First-ever checklist for quality national nutrition plans is launched

#2030Together

Togetherfor the

2030Agenda

The Partnerships Playbook

The Partnerships Playbook is endorsed as a global partnership initiative and blueprint for SDG partnering

The Scaling Up Nutrition (SUN) Movement

Annual Progress Report 2016

2016 SUN Movement Progress Report is launched

SUN Civil Society Network Learning Route in Rwanda

SUN Movement Coordinator visits Ghana

Human Capital Summit: Investing in a child’s early years

Micronutrient Forum Global Conference

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The SUN Movement Coordinator travels to India: Gujarat, Maharashtra, Uttar Pradesh, New Delhi

MID 2017

“The coordination between the two sectors of wash and nutrition is critical because the interlinkages are so strong and can have a major postive impact on the lives of every woman, man and child.” –Dr Mushtaque Chowdhury, Vice-Chair of BRAC and member of the SUN Movement Lead Group

*Refer to Annex 1 for country nutrition data statistics as validated by the UNICEF, WHO and the World Bank Joint Malnutrition Estimates Group.

Nutrition meets

WASH 2Stockholm World Water Week, 28 August – 1 September 2017

45 per cent of deaths of girls and boys under 5 years old are attributable to undernutrition. The factors and pathways leading to undernutrition are diverse, complex and most often interconnected: Water, sanitation and hygiene (WASH) play a considerable role in these pathways. That is why the Scaling Up Nutrition (SUN) Movement and the Sanitation and Water for All (SWA) Partnership are continuing to strengthen their partnership, including collaborating at Stockholm World Water Week for the second year in a row.

Join us at our 2017 WASH-nutrition sessions, where we will unpack how WASH and nutrition programmes can be better designed to effectively contribute to achieving better nutrition outcomes.

#NutritionMeetsWASH #WWWeek

Made possible with considerable contributions from …

Brought to you by …

WE NEED …

WATER

TO SCALE UP NUTRITION!

SANITATION

HYGIENE

The State of Food Security and Nutrition in the World In 2016, the number of undernourished people in the world increased to 815 million, up from 777 million in 2015.

World Breast-feeding Week: Sustaining Breastfeeding Together

2017 High-Level Political Forum on Sustainable Development (HLPF)

SUN Civil Society Network Learning Exchange in Nepal

SUN Civil Society Network SDG Toolkit

New 2017 child malnutrition estimates show that 155 million girls are boys are stunted, down from 156 million last year

The SUN Movement Coordinator visits southern Africa: Lesotho, Madagascar and Mozambique

Regional parliamentarian workshop in Burkina Faso

The 70th World Health Assembly welcomes Dr Tedros Adhanom Ghebreyesus as the new Director-General

2017 Update: The International Code of Marketing of Breast-milk Substitutes Frequently Asked Questions

We can repair a bridge, we know how to do that, we can fix a port, we know how to do it, we can fix a rail, we know how to do that, but we don’t know how to fix brain cells once they are gone, that’s why we need to change our approach to dealing with nutrition matters in Africa.

Akinwumi Adesina, President of the African Development Bank and SUN Movement Lead Group member

African Development Bank Annual Meeting in Ahmadabad, India

For $10 pr year/child, we can prevent stunting, get a return of investment up to $35 for every dollar invested, and bring $420 billion worth of economic benefits.

Jim Yong Kim, President of the World Bank

Spotlight on nutrition at the World Bank Autumn Meetings: Unlocking Human Potential and Economic Growth

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Bangladesh p. XVII, 11, 15, 20, 24, 29, 31, 37, 39, 43, 45, 49, 74, 84Benin p. XV, XVII, 16, 20, 25, 29, 31, 32, 37, 85Botswana p. XVII, 17, 20, 74, 86Burkina Faso p. XIII, XV, XVI, 16, 20, 21, 24, 25, 29, 30, 31, 32, 35, 37, 39, 43, 44, 45, 67, 78, 87Burundi p. 9, 17, 20, 23, 2 5, 29, 31, 45, 88Cambodia p. XIV, XVI, 12, 13, 15, 20, 25, 36, 37, 43, 51, 66, 89Cameroon p. 9, 16, 20, 25, 29, 32, 35, 37, 43, 45, 54, 90Central African Republic p. XII, 17, 20, 21, 35, 37, 91Chad p. XIV, 17, 20, 25, 29, 31, 32, 35, 37, 43, 45, 49, 92Comoros p. 17, 20, 23, 36, 37, 49, 93Congo p. 16, 20, 25, 28, 37, 43, 94Costa Rica p. XVII, 10, 15, 20, 23, 28, 35, 95Côte d’Ivoire p. VIII, 9, 11, 16, 20, 25, 29, 31, 34, 35, 42, 43, 45, 48, 51, 54, 60, 72, 96Democratic Republic of the Congo p. 9, 17, 20, 32, 35, 49, 97El Salvador p. XVII, 10, 15, 20, 21, 35, 37, 49, 98Ethiopia p. II, VIIII, XIII, XVII, 9, 17, 20, 35, 45, 51, 53, 54, 67, 78, 99Gabon p. IX, XII, 16, 20, 36, 37, 42, 100The Gambia p. 16, 20, 25, 32, 101Ghana p. 9, 16, 20, 24, 25, 31, 49, 102Guatemala p. XVII, 15, 20, 21, 23, 24, 28, 28, 34, 35, 43, 45, 46, 103Guinea p. 9, 16, 20, 24, 29, 35, 104Guinea-Bissau p. 5, 16, 20, 25, 28, 49, 105.Haiti p. 15, 20, 25, 29. 31, 35, 106Indonesia p. XIII, XVII, 15, 20, 21, 23, 25, 35, 38, 49, 54, 60, 66, 74, 107Kenya p. XVII, 17, 20, 21, 23, 25, 35, 37, 56, 67, 74, 108Kyrgyzstan p. 15, 20, 21, 28, 31, 35, 45, 48, 51, 54, p .66, 109Lao PDR p. 10, 15, 20, 23, 31, 35, 45, 49, 60, 110Lesotho p. 17, 20, 24, 49, 74, 111Liberia p. 16, 20, 24, 49, 112Madagascar p. 12, 13, 17, 20, 24, 29, 31, 35, 37, 42, 49, 54, 60, 74, 113

Malawi p. 17, 20, 23, 24, 25, 31, 34, 35, 67, 114Mali p. XV, 16, 20, 21, 30, 31, 32, 35, 37, 43, 115Mauritania p. II, XIII, 16, 20, 25, 32, 35, 43, 49, 78, 116Mozambique p. 17, 20, 30, 55, 74, 117Myanmar p. II, XIII, 15, 20, 25, 28, 30, 31, 35, 36, 39, 43, 66, 78, 118Namibia p. 16, 20, 29, 38, 119Nepal p. XIII, XVII, 10, 15, 20. 25, 31, 35, 48, 49, 53, 54, 60, 120Niger p. XIV, 13, 16, 20, 27, 29, 31, 31, 32, 35, 36, 121Nigeria p. II, III, XIII, XIV, XVII, 8, 10, 16, 24, 27, 37, 78, 122Pakistan p. 5, 15, 20, 21, 31, 38, 50, 53, 54, 74, 75, 123Papua New Guinea p. 15, 20, 23, 35, 42, 124Peru p. XV, XVII, 5, 20, 21, 34, 35, 37, 49, 60, 125Philippines p. 15, 20, 27, 35, 36, 37, 49, 53, 54, 66, 126Rwanda p. XII, 17, 20, 22, 23, 66, 127Senegal p. XV, 16, 20, 25, 34, 35, 37, 39, 42, 43, 45, 43, 44, 54, 60, 66, 70, 75, 96, 128Sierra Leone  p. 16, 20, 24, 25, 35, 45, 45, 129Somalia  p. 8, 17, 20, 29, 31, 35, 130South Sudan  p. 8, 17, 20, 131Sri Lanka  p. 15, 20, 23, 24, 25, 37, 77, 132Sudan  p. 17, 20, 51, 133Swaziland  p. 17, 20, 21, 24, 134Tajikistan  p. XVII, 15, 20, 21, 32, 43, 52, 54, 60, 135Tanzania  p. 17, 29, 30, 31, 35, 43, 45, 54, 67, 77, 136Togo  p. XVII, 16, 20, 35, 37, 137Uganda  p. 17, 20, 24, 35, 36, 138Viet Nam  p. 15, 20, 21, 35, 37, 54, 60, 74, 139Yemen p. 8, 15, 20, 32, 140Zambia  p. 17, 20, 39, 42, 45, 48, 49, 67, 77, 141Zimbabwe  p. XVII, 13, 17, 20, 31, 35, 43, 49, 67, 70, 142

Country index: Want to learn more about a SUN Country?

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Summary and key messages

MOVING FROM INSPIRATION TO INVESTMENT – FOR IMPACT ON PEOPLE, SOCIETIES & COUNTRIES

Key 2016-2017 highlights

More and more, nutrition is seen as a maker and marker of development – essential to the attainment of the Sustainable Development Goals (SDGs). The transformative 2030 Agenda is grounded in the ambition of leaving no one behind – an aspiration shared by the Scaling Up Nutrition (SUN) Movement. To this end, as per its 2016-2020 Strategy and Roadmap, all SUN Countries will, by 2020, be able to show to an equitable improvement in the nutritional status of all women, men and their families. 1

In 2017, the SUN Movement marks its seventh year, driven by 59 countries and the Indian States of Jharkhand, Maharashtra, and Uttar Pradesh. They are home to over 100 million girls and boys who are too short for their age (stunted) and face diminished mental development – with irreversible consequences for individuals, families, communities and countries. Led by nations and states – united with civil society, business, United Nations agencies, donors and academia – the SUN Movement is scaling up to make sure that the potential of everyone, everywhere is unleashed by making malnutrition an injustice of the past. Between late 2016 and early 2017, the SUN Movement welcomed Central African Republic and Gabon as its newest members.2 By joining the SUN Movement, they are part of a community that is constantly sharing progress and challenges and learning how one another brings people together, puts the right policies and laws in place, strives toward common results and invests for impact. The SUN Movement is founded on the principle of country ownership and continuous improvement, and, together, members are shifting their focus from inspiration towards implementation and ensuring the results needed to end malnutrition, in all its forms, making sure no one is left behind.

In the period April to August 2017, a record-breaking 52 countries3 – up from 45 in 2016 – examined their scaling up nutrition efforts, by bringing together their nutrition communities for the yearly SUN Movement Joint-Assessment Exercise. This exercise provides invaluable insight into country-level action and is one of the Movement’s most unique features and tools, to share progress and challenges, and set a course for the future. Results from these assessments show

1 The reporting period, for the purposes of this summary, covers April 2016 to August 2017.2 On 26 September 2017, the Government of Afghanistan issued a letter of intent to join the SUN Movement, marking the Movement’s 60th member country.3 In addition to the 52 SUN Countries who undertook the Joint-Assessment exercise in 2017, two SUN Movement newcomers (Papua New Guinea and Gabon) undertook baseline studies that paint a picture of the elements in place for ensuring a well-nourished future for families, societies and nations, from April to July 2017.

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that almost 70 per cent of SUN Countries see the environment in which they work as more enabling for success in 2016-2017.4

The SUN Movement is supporting the transformation of lives and futures, but faster results at scale are both possible and necessary to reach the six global targets for better nutrition by 2025 and the Sustainable Development Goals by 2030. SUN Countries are experiencing significant reductions in malnutrition, proving that its eradication is within reach. In 2016-2017, Burkina Faso, Ethiopia, Mauritania, Myanmar, and Nigeria reported a significant decline in the number of stunted children.5

The growing obesity and overweight challenge is being tackled across the SUN Movement, with 16 SUN Countries having included

overweight and obesity in their national policy and strategy documents, while 3 SUN Countries are tracking diabetes and sodium intake.

The SUN Movement is breaking down silos by bringing together multiple sectors and stakeholders centrally, regionally and locally. Governments are uniting their nutrition communities, with 50 SUN countries now having an active multi-stakeholder platform (MSP) at the national level. In 35 countries – nine more than in 2015-2016 – these platforms also work at the sub-national level, supporting local actions and implementation, across sectors such as women’s empowerment, agriculture, WASH, health, social protection and national development.

Stakeholders are increasing and diversifying whilst joining networks, as SUN Countries determine the right group of people for lasting human impact.

Civil society organisations are coordinating and rallying behind national plans to scale up nutrition.

The SUN Civil Society Network (CSN) encourages the formation of vibrant civil society alliances, with such alliances existing in 39 SUN Countries today. The network represents over 2,000 organisations locally, nationally and internationally, spanning multiple sectors and backgrounds, including four regional coordination groups – two of which (covering Asia and East and Southern Africa) were set up in 2016-2017. The network has, in 2016-2017, developed a theory of change to provide a shared framework, within which

4 UNICEF (2017). Child malnutrition in Ethiopia has dropped 20 percent in 16 years. Available at: http://scalingupnutrition.org/news/malnutrition-in-ethiopia-has-dropped-20-in-16-years/ [accessed September 2017].5 Reported progress from SUN Countries, as per the above, has been validated by UNICEF, WHO and the World Bank Joint Malnutrition Estimates Group.

SUN COUNTRIES LIKE ETHIOPIA

HAVE SEEN UP TO A 20%

DROP IN CHILD MALNUTRITION

OVER THE PAST 16 YEARS5

IN 2016-2017, THE SUN CIVIL SOCIETY NETWORK ORGANISED 4 LEARNING

EXCHANGES IN 3 COUNTRIES, BRINGING TOGETHER 6 ALLIANCES IN ASIA, FOR THE FIRST TIME, IN INDONESIA,

9 ALLIANCES IN NEPAL & 9 ALLIANCES IN RWANDA

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national alliances and the global network can work to inform the development of national and regional strategies and support implementation.

Businesses are investing and innovating in responsible, sustainable actions and operations to improve nutrition, by partnering with countries

The SUN Business Network (SBN) is a truly unique global platform for business and nutrition, and counts more than 400 multi-national and national companies, including SMEs, committing to ending malnutrition as members. 30 MSPs now include private sector representatives, acknowledging their potentially game changing contributions to consumers, the food sector, the economy, and planet, alike. In the last year, the SBN has launched new national business networks in Nigeria and Niger, making the network present in 15 SUN Countries. 15 SUN Countries have set up their own private sector networks, and 7 more countries are developing theirs.

Development partners, including bilateral donors, foundations, development banks and other stakeholders, are calling for continued political will and the prioritisation of nutrition on all agendas

The SUN Donor Network (SDN) seeks to ensure political commitment for nutrition and embrace the SUN Movement approach as an invaluable global movement. It advocates for country access to more and better financing for nutrition, at all levels. Further to increasing accountability and measuring progress in mobilising resources, the SDN is committed to tracking donor spending on nutrition. In a bid to increase, harmonise and align development partners’ support for government-led nutrition plans, 36 countries have an appointed

donor convener – up from 28 in 2015-2016. There are SUN Donor Networks in 24 SUN Countries. Beyond this, the SDN has reviewed these structures and strives to increase learning and capacity strengthening – to promote multi-sectoral country efforts to end malnutrition.

United Nations agencies are harnessing their functional and technical expertise to help bring convergence to national multi-sectoral nutrition efforts

57 SUN Countries have established UN Networks, with nominated UN Network for SUN (UNN) Focal Points. 37 countries – or 65 per cent – have appointed UN Network Chairs. REACH (Renewed Efforts Against Child Hunger and Undernutrition) was engaged in 17 SUN countries in 2016-20176 and continues to be a service, provided through the UN Network, in response to country demand to bring momentum to and build capacity for multi-sectoral nutrition governance implementation and results.

41 MSPs are working with scientists and academia to better support evidence-based decision-making and improve the coordination amongst governments and research institutions.

42 SUN Countries are now leveraging the budgetary, legislative and political powers of parliamentarians – helping to cement nutrition as a national priority.

6 As at 30 April 2017, REACH was operational in eleven countries, namely: Burkina Faso; Burundi; Chad; Haiti; Lesotho; Mali; Myanmar; Senegal; Sierra Leone; Tanzania; and Zimbabwe. It has provided support to other countries in the past, including: Bangladesh; Ethiopia; Ghana; Guinea; Lao PDR; Mauritania; Mozambique; Nepal; Niger; Rwanda and Uganda.

IN 2016-2017, TO BETTER MEET DEMAND, THE SUN BUSINESS NETWORK HAS

PARTNERED WITH THE AFRICAN DEVELOPMENT

BANK & ASHOKA CHANGEMAKERS TO ADDRESS NUTRITION

INVESTMENT HINDRANCES FOR BUSINESSES, ESPECIALLY

SMES, IN AFRICA.

THE MULTI-PARTNERSHIP, MULTI-STAKEHOLDER APPROACH IS

WHAT IS NEEDED BECAUSE WE CAN’T PRETEND THAT WE ARE

CAPABLE, WE KNOW AND WE CAN MANAGE TO DO EVERYTHING

ALONE IN TERMS OF FINANCING [AND] MANAGING [NUTRITION]

PROJECTS. – Neven Mimica, European

Commissioner for International Cooperation and Development and SUN Movement Lead Group

Member

IN 2016-2017, THE UN NETWORK HAS ASSISTED

SUN COUNTRIES LIKE BURKINA FASO, CAMBODIA & CHAD

WITH THE DEVELOPMENT OF THEIR NEW MULTI-SECTORAL NATIONAL

NUTRITION PLANS.

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The media is spreading the nutrition word across 33 SUN Countries. 19 countries work with the media on behaviour change communication, advocacy or to disseminate policies, with 4 SUN Countries having established dedicated journalist networks.7 5 SUN Countries use their civil society networks to engage the media, and more and more SUN Countries have identified working with the media as key to put into force nutrition plans or polices.8

25 SUN Countries have nominated one, or several, high-level political or social champions for nutrition – from First Ladies, Presidents, Prime Ministers to sports stars, traditional and religious leaders, and celebrities.

SUN Countries are demonstrating that planning, costing, financing and implementing a common set of nutrition results is still a work in progress. Monitoring impact and ensuring that a reliable and inclusive data system is in place remains a challenge.

SUN Countries have, in 2016-2017, worked tirelessly towards ensuring gender-sensitive robust and coherent policy, legal and regulatory frameworks to redress the many causes of malnutrition.

45 SUN Countries have in place some form of legal measure related to the International Code of Marketing of Breast-milk Substitutes. Out of which, 39 SUN Countries have comprehensive legislation or regulations reflecting all or most provisions of the Code.9 24 countries have a minimum of 14 weeks fully-paid maternity leave, with 5 SUN Countries (Benin, Burkina Faso, Mali, Peru and Senegal) having ratified the International Labour Organization’s Maternity Protection Convention, 2000 (No. 183). Peru and Senegal signed on to this key Convention in 2016-2017. 18 countries have a high level of constitutional protection of the right to food. 56 countries have legislation on universal salt iodisation, whilst 46 countries have legislation on mandatory flour fortification. and 18 SUN Countries have social mobilisation, advocacy and communication strategies in place, with a further 3 countries developing theirs. 49 SUN Countries10 now have data on country policies to ensure a healthy diet.

7 As reported in the 2017 Joint-Annual Assessment Exercise of the SUN Movement.8 Please note that this overview dates back to analysis undertaken in August 2016.9 MEAL Baseline (2017). Data source: WHO, UNICEF, IBFAN 2016. Marketing of Breast-milk Substitutes: National Implementation of the International Code, Status Report 2016. Geneva: WHO.10 IFPRI (2015). Global Nutrition Report 2015: Actions and accountability to advance nutrition and sustainable development. Available at: http://www.ifpri.org/publication/global-nutrition-report-2015 [accessed August 2017].

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SUN Countries are committed to ensuring that all nutrition actions across sectors are coordinated around a common results framework (CRF).

37 SUN Countries now report that they have a national CRF in place. 14 more are in the process of developing or updating theirs. 24 have a monitoring and evaluation framework with a further 5 under development. 33 are fully costed. 47 countries are tracking public financial allocations for nutrition, with 25 countries acknowledging the funding gaps needing to be filled. 18 countries report that in-country donors have aligned behind the national reporting of this information.

Nutrition champions – at all levels – are making an increasingly effective case for investing in nutrition.

The average estimated nutrition budget allocation across 37 SUN Countries is at 5.9 per cent of general government expenditure, although nutrition-specific spending is at less than 0.05 per cent. The highest share of nutrition-relevant spending is found in social protection, followed by health, agriculture, water and sanitation, and education. The highest share of nutrition-relevant spending is found in social protection, followed by health, agriculture, water and sanitation, and education. SUN Government Focal Points and SUN Networks are working hard to use the evidence gathered through budget analysis exercises to advocate for more and better nutrition-focused spending.

A snapshot of global action in 2016-2017With the knowledge that partnering is key to solve the nutrition puzzle, the SUN Movement is building linkages with key partnerships and alliances recognising the crucial connections between good nutrition, women’s empowerment, sustainable food systems, healthcare, water and sanitation and education. Official partnerships have been established with Sanitation and Water for All and Women Deliver – along with collaboration with Every Woman, Every Child, the Global Partnership for Education, the Global Panel for Agriculture and Food Systems on Nutrition, the NCD Alliance, the Early Childhood Development Action Network and EAT.

In December 2016, the first-ever checklist for developing ‘good’ quality nutrition plans was launched, with the UN Network for SUN. This product, supported by blogs and case studies on the use of the checklist, has already been used in the development of nutrition policies and plans in SUN Countries such as Burkina Faso and Cambodia.

Under the normative framework of the Second International Conference on Nutrition (ICN2) and the 2030 Agenda for Sustainable Development, the United Nations Decade of Action on Nutrition (2016-2025) marks a framework for global nutrition action to eradicate hunger and malnutrition in all its forms and reduce the burden of diet-related noncommunicable diseases (NCDs) in all age groups, everywhere. In January 2017, its work programme was launched, following the proclamation of this Decade in April 2016. Since then, Norway has become the first country to establish an action network, whilst Ecuador and Brazil have been the first countries to pledge their ambitious commitments.

SUN Country actors are making use of additional and valuable networks to inform country-level work. To ‘declutter’ the crowded nutrition space, in March 2017, the SUN Movement – in collaboration with Emergency Nutrition Network (ENN) – brought together representatives from Alive & Thrive, , Global Alliance for Improved Nutrition (GAIN) , Global Panel on Agriculture and Food Systems for Nutrition, International Food Policy Research Institute (IFPRI) , Institute of Development Studies (IDS) , Maximising the Quality of Scaling Up Nutrition Programmes (MQSUN), Secure Nutrition, the Sackler Institute for Nutrition Sciences, World Food Programme (WFP), World Health Organization (WHO), UNICEF and the World Bank, in its first-ever workshop on knowledge management. This gathering set an agreed working definition of knowledge

IN DECEMBER 2016, THE PARTNERSHIPS PLAYBOOK –

BASED ON THE SUN MOVEMENT’S PRINCIPLES OF ENGAGEMENT, SUPPORTED BY EVERY WOMAN,

EVERY CHILD, THE GLOBAL PARTNERSHIP FOR EDUCATION, THE ZERO HUNGER CHALLENGE, AND SANITATION AND WATER

FOR ALL – WAS ENDORSED AS A GLOBAL PARTNERSHIP INITIATIVE

AND BLUEPRINT FOR SDG PARTNERING, BY GLOBAL LEADERS

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management for the Movement and garnered agreement around the means of coordinating knowledge management efforts – in support of SUN country priorities, as per the Movement’s Strategy and Roadmap (2016-2020).

In May 2017, the SUN Movement showed its commitment to make change for girls and women everywhere, by putting the spotlight on improving maternal and new-born health and nutrition, the dedicated monthly theme for the Deliver for Good campaign. The SUN Movement is one of the founding partners of this important initiative.

In July 2017, a total of 44 countries, including SUN Countries Bangladesh, Benin, Botswana, Costa Rica, El Salvador, Ethiopia, Guatemala, Indonesia, Kenya, Nepal, Nigeria, Peru, Tajikistan, Togo and Zimbabwe undertook their voluntary national reviews of country-level progress towards Sustainable Development Goals (SDGs), during the 2017 High-Level Political Forum on Sustainable Development (HLPF) under the theme “eradicating poverty and promoting prosperity in a changing world. This Forum encompassed in-depth reviews of SDG 1, 2, 3, 5, 9 and 14.

Moving forward: Making sure a future with no malnutrition is within reachAs of June 2017, 17 SUN Countries have an active humanitarian appeal. The SUN Movement is elaborating on the challenges faced by SUN Countries during urgent or recurring crises, to provide a set of long-term recommendations on how focusing on nutrition can help bridge the development-humanitarian divide and implement the ‘New Way of Working’ adopted at the World Humanitarian Summit. In pursuit of the objectives of the SUN Movement Strategy and Roadmap (2016-2020) and 2030 Agenda for Sustainable Development, these recommendations are driven by examples from SUN Countries. Agenda 2030, encompassing the Sustainable Development Goals and the Paris Agreement, recognises the intrinsic links between peace and sustainable development and therefore, there is an emphasis on ensuring that no one is left behind and aims to reach the furthest behind first. This translates into inclusive growth for all people, whether in a stable, fragile or conflict context.

As the SUN Movement charges on in its new phase, stakeholders are seeking to demonstrate how their human and financial resources have and are being translated into actions and results that deliver better nutrition for all. Achieving this ambition requires a strong Monitoring, Evaluation, Accountability and Learning (MEAL) system that reflects the underlying theory of change of the Movement. To this end, 2016 and 2017 has seen the development of a MEAL results framework that includes indicators of progress. The choice of indicators is aligned with globally agreed monitoring frameworks and initiatives, like the SDGs, and reflects already available data (i.e. secondary data). The MEAL system also includes indicators specific to the SUN Movement.

Following the appointment of a new SUN Movement Lead Group by the United Nations Secretary-General in September 2016 – comprising Heads of State, public and private sector champions, academics and social changemakers – an Engagement Plan was created in 2017. This plan will help harness individual Lead Group members’ spheres of influence to encourage decision-makers and thought leaders at country and global levels; energise the nutrition discussion; highlight the Movement’s role and approach and support its cross-cutting objectives. The annual Lead Group meeting was held on the margins of the United Nations General Assembly in September 2017, with the theme Nourishing a Sustainable Future”, where each member took on new commitments to support SUN Countries.

The SUN Movement takes a country-owned, driven and led approach, in line with the SDG promise to leave no one behind. Turning the focus on country-level action – a prerequisite for the SUN Movement Strategy and Roadmap 2016-2020 – will need the consolidated and coordinated effort of each and every stakeholder. For instance, one year into her role as the SUN Movement Coordinator, Gerda Verburg has pledged to travel to 20 or more SUN Countries in 2017, to learn more – first hand – about scaling up nutrition challenges and opportunities faced in this diverse group of nations and Indian States.

“WE CAN ALL BE, AND WE SHOULD ALL BE, NUTRITION CHAMPIONS IN OUR OWN

RIGHT, AND, BY LEADING FROM WHERE WE ARE, WE CAN MAKE A SUBSTANTIAL DIFFERENCE IN THE LIVES OF MANY. SO, LET’S

ROLL UP OUR SLEEVES AND MAKE 2018 A WATERSHED YEAR

FOR NUTRITION!” – Gerda Verburg, SUN

Movement Coordinator

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